Provider Demographics
NPI:1598535015
Name:KAHUNI, WENGAI MALVIN
Entity Type:Individual
Prefix:
First Name:WENGAI
Middle Name:MALVIN
Last Name:KAHUNI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3733 HILL COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4174
Mailing Address - Country:US
Mailing Address - Phone:405-590-6389
Mailing Address - Fax:
Practice Address - Street 1:3733 HILL COUNTRY DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-4174
Practice Address - Country:US
Practice Address - Phone:405-590-6389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41294261343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)